Andrew J Epstein
Dados Biográficos
| ID | 5535527 |
|---|---|
| NOME | Andrew J Epstein |
| PRENOMES | Andrew J |
| SOBRENOME | Epstein |
| ASSINATURA | EPSTEIN A J |
| AFILIAÇÕES | University of Pennsylvania |
| ORCID | 0000-0001-5078-6564 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 11 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 11 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2000 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2018 |
| ÍNDICE H | 0 |
The Differential Effects of Insurance Mandates on Health Care Spending for Children’s Autism Spectrum Disorder
OBJECTIVES: There is substantial variation in treatment intensity among children with autism spectrum disorder (ASD). This study asks whether policies that target health care utilization for ASD affect children differentially based on this variation. Specifically, we examine the impact of state-level insurance mandates that require commercial insurers to cover certain treatments for ASD for any fully-insured plan. METHODS: Using insurance claims …
Validation of Molecular Pathology Codes for the Identification of Mutational Testing in Lung and Colon Cancer
BACKGROUND: Targeted therapy for patients with lung and colon cancer based on tumor molecular profiles is an important cancer treatment strategy, but the impact of gene mutation tests on cancer treatment and outcomes in large populations is not clear. In this study, we assessed the accuracy of an algorithm to identify tumor mutation testing in administrative claims data during a period before test-specific Current Procedural Terminology codes wer…
The Impact of Reported Hospice Preferred Practices on Hospital Utilization at the End of Life
BACKGROUND: The Affordable Care Act requires hospices to report quality measures across a range of processes and practices. Yet uncertainties exist regarding the impact of hospice preferred practices on patient outcomes. OBJECTIVE: Assess the impact of 6 hospice preferred practices and hospice organizational characteristics on hospital utilization and death using the first national data on hospice preferred practices. DESIGN: Longitudinal cohort …
Antipsychotic Prescribing
BACKGROUND: Academic medical centers (AMCs) have increasingly adopted conflict of interest policies governing physician-industry relationships; it is unclear how policies impact prescribing. OBJECTIVES: To determine whether 9 American Association of Medical Colleges (AAMC)-recommended policies influence psychiatrists' antipsychotic prescribing and compare prescribing between academic and nonacademic psychiatrists. RESEARCH DESIGN: We measured num…
Does Exposure to Conflict of Interest Policies in Psychiatry Residency Affect Antidepressant Prescribing
BACKGROUND: Academic medical institutions have instituted conflict of interest (COI) policies in response to concerns about pharmaceutical industry influence. OBJECTIVE: To determine whether exposure to COI policies during psychiatry residency training affects psychiatrists' antidepressant prescribing patterns after graduation. RESEARCH DESIGN: We used 2009 physician-level national administrative prescribing data from IMS Health for 1652 psychiat…
Variations in the Use of an Innovative Technology by Payer
BACKGROUND: Despite receiving identical reimbursement for treating heart disease patients with bare metal stents (BMS) or drug-eluting coronary stents (DES), cardiologists' use of the new technology (DES) may have varied by patient payer type as DES diffused. Payer-related factors that differ between hospitals and/or differential treatment inside hospitals might explain any overall differences by payer type. OBJECTIVES: To assess the association …
Geographic Variation in Implantable Cardioverter-Defibrillator Use and Heart Failure Survival
BACKGROUND: Implantable cardioverter-defibrillators and cardiac resynchronization therapy-defibrillators (ICD/CRT-Ds) are evidence-based preventative treatments for many patients with heart failure (HF), yet large numbers of eligible patients remain untreated. It is uncertain if localities with more frequent ICD/CRT-D use have had better rates of HF survival. OBJECTIVES: To determine if US Hospital Referral Regions (HRRs) with larger increases in…
Racial Disparities in Changing to a High-volume Urologist Among Men With Localized Prostate Cancer
BACKGROUND: Patients who receive surgery from high-volume surgeons tend to have better outcomes. Black patients, however, are less likely to receive surgery from high-volume surgeons. OBJECTIVE: Among men with localized prostate cancer, we examined whether disparities in use of high-volume urologists resulted from racial differences in patients being diagnosed by high-volume urologists and/or changing to high-volume urologists for surgery. RESEAR…
Improvements in US Maternal Obstetrical Outcomes From 1992 to 2006
BACKGROUND: Over 4 million women give birth annually in the United States, making delivery one of the most common reasons for hospital care. OBJECTIVE: We examined 15-year trends in risk-adjusted maternal complications following childbirth. RESEARCH DESIGN: We examined maternal obstetrical outcomes from 1992-2006 among women undergoing cesarean delivery (CD) and vaginal delivery (VD). A composite measure of major maternal complications including …
Medicaid Preferred Drug Lists’ Costs to Physicians
BACKGROUND: Medicaid preferred drug lists (PDLs) might reduce costs for Medicaid programs while creating costs to physicians. OBJECTIVES: To measure the costs from complying with Medicaid PDLs for primary care physicians and cardiologists, and to quantify the costs of a hypothetical PDL for Medicare Part D. RESEARCH DESIGN: We analyzed cardiologists' and primary care physicians' experiences with Medicaid PDLs for antihypertensives and statins in …
Posthospitalization Home Health Care Use and Changes in Functional Status in a Medicare Population
OBJECTIVE: The objective of this work was to estimate the effect of Medicare beneficiaries' use of home health care (HHC) for 6 months after hospital discharge on the change in functional status over a 1-year period beginning before hospitalization. DATA SOURCES AND STUDY SETTING: Data came from the Medicare Current Beneficiary Survey, which is a nationally representative sample of Medicare beneficiaries, in-person interview data, and Medicare cl…
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Posthospitalization Home Health Care Use and Changes in Functional Status in a Medicare Population
OBJECTIVE: The objective of this work was to estimate the effect of Medicare beneficiaries' use of home health care (HHC) for 6 months after hospital discharge on the change in functional status over a 1-year period beginning before hospitalization. DATA SOURCES AND STUDY SETTING: Data came from the Medicare Current Beneficiary Survey, which is a nationally representative sample of Medicare beneficiaries, in-person interview data, and Medicare cl…
Medicaid Preferred Drug Lists’ Costs to Physicians
BACKGROUND: Medicaid preferred drug lists (PDLs) might reduce costs for Medicaid programs while creating costs to physicians. OBJECTIVES: To measure the costs from complying with Medicaid PDLs for primary care physicians and cardiologists, and to quantify the costs of a hypothetical PDL for Medicare Part D. RESEARCH DESIGN: We analyzed cardiologists' and primary care physicians' experiences with Medicaid PDLs for antihypertensives and statins in …
Improvements in US Maternal Obstetrical Outcomes From 1992 to 2006
BACKGROUND: Over 4 million women give birth annually in the United States, making delivery one of the most common reasons for hospital care. OBJECTIVE: We examined 15-year trends in risk-adjusted maternal complications following childbirth. RESEARCH DESIGN: We examined maternal obstetrical outcomes from 1992-2006 among women undergoing cesarean delivery (CD) and vaginal delivery (VD). A composite measure of major maternal complications including …
Racial Disparities in Changing to a High-volume Urologist Among Men With Localized Prostate Cancer
BACKGROUND: Patients who receive surgery from high-volume surgeons tend to have better outcomes. Black patients, however, are less likely to receive surgery from high-volume surgeons. OBJECTIVE: Among men with localized prostate cancer, we examined whether disparities in use of high-volume urologists resulted from racial differences in patients being diagnosed by high-volume urologists and/or changing to high-volume urologists for surgery. RESEAR…
Variations in the Use of an Innovative Technology by Payer
BACKGROUND: Despite receiving identical reimbursement for treating heart disease patients with bare metal stents (BMS) or drug-eluting coronary stents (DES), cardiologists' use of the new technology (DES) may have varied by patient payer type as DES diffused. Payer-related factors that differ between hospitals and/or differential treatment inside hospitals might explain any overall differences by payer type. OBJECTIVES: To assess the association …
Geographic Variation in Implantable Cardioverter-Defibrillator Use and Heart Failure Survival
BACKGROUND: Implantable cardioverter-defibrillators and cardiac resynchronization therapy-defibrillators (ICD/CRT-Ds) are evidence-based preventative treatments for many patients with heart failure (HF), yet large numbers of eligible patients remain untreated. It is uncertain if localities with more frequent ICD/CRT-D use have had better rates of HF survival. OBJECTIVES: To determine if US Hospital Referral Regions (HRRs) with larger increases in…
Does Exposure to Conflict of Interest Policies in Psychiatry Residency Affect Antidepressant Prescribing
BACKGROUND: Academic medical institutions have instituted conflict of interest (COI) policies in response to concerns about pharmaceutical industry influence. OBJECTIVE: To determine whether exposure to COI policies during psychiatry residency training affects psychiatrists' antidepressant prescribing patterns after graduation. RESEARCH DESIGN: We used 2009 physician-level national administrative prescribing data from IMS Health for 1652 psychiat…
Antipsychotic Prescribing
BACKGROUND: Academic medical centers (AMCs) have increasingly adopted conflict of interest policies governing physician-industry relationships; it is unclear how policies impact prescribing. OBJECTIVES: To determine whether 9 American Association of Medical Colleges (AAMC)-recommended policies influence psychiatrists' antipsychotic prescribing and compare prescribing between academic and nonacademic psychiatrists. RESEARCH DESIGN: We measured num…
The Impact of Reported Hospice Preferred Practices on Hospital Utilization at the End of Life
BACKGROUND: The Affordable Care Act requires hospices to report quality measures across a range of processes and practices. Yet uncertainties exist regarding the impact of hospice preferred practices on patient outcomes. OBJECTIVE: Assess the impact of 6 hospice preferred practices and hospice organizational characteristics on hospital utilization and death using the first national data on hospice preferred practices. DESIGN: Longitudinal cohort …
Validation of Molecular Pathology Codes for the Identification of Mutational Testing in Lung and Colon Cancer
BACKGROUND: Targeted therapy for patients with lung and colon cancer based on tumor molecular profiles is an important cancer treatment strategy, but the impact of gene mutation tests on cancer treatment and outcomes in large populations is not clear. In this study, we assessed the accuracy of an algorithm to identify tumor mutation testing in administrative claims data during a period before test-specific Current Procedural Terminology codes wer…
The Differential Effects of Insurance Mandates on Health Care Spending for Children’s Autism Spectrum Disorder
OBJECTIVES: There is substantial variation in treatment intensity among children with autism spectrum disorder (ASD). This study asks whether policies that target health care utilization for ASD affect children differentially based on this variation. Specifically, we examine the impact of state-level insurance mandates that require commercial insurers to cover certain treatments for ASD for any fully-insured plan. METHODS: Using insurance claims …
Medicine (11 obras) · Internal Medicine (6 obras) · Internal Medicine (6 obras) · Family medicine (4 obras) · Healthcare Policy and Management (4 obras) · Confidence interval (3 obras) · Emergency Medicine (3 obras) · Emergency Medicine (3 obras) · Health care (3 obras) · Logistic regression (3 obras)